Binge eating disorder
Binge eating or binge -eating disorder (BES, Eng. Binge Eating Disorder, from the English. Binge = Spree ) is an eating disorder in which there is periodic cravings seizures ( binge eating ) comes with loss of conscious control over eating. In contrast to the bulimia Eaten is not subsequently vomited, so that in the longer term usually overweight is the result. 1994 Research criteria for the BES were formulated for the DSM- IV for the first time, the BES so far but has not been approved as a separate diagnosis. In ICD- 10, the BES is therefore classified under " Unspecified eating disorder " ( F50.9 ). The definition of this eating disorder was a long time controversial, the criteria are, however, increasingly accepted by nutritionists and medical professionals; the need for treatment of this disorder is now generally recognized in Europe. The treatment concepts usually correspond to those of bulimia.
Diagnosis
The diagnostic criteria for binge eating were erected in the 1990s by the Psychiatric Association in the United States:
- At least two binge eating episodes per week for a period of at least six months
- Loss of control of food intake by loss of satiety
- Very high calorie intake during a binge eating
- Extremely hasty eating ( " wrap " )
- Eating up to a strong feeling of fullness
- Of binge eating is not triggered by strong hunger
- Occurred after the binge eating guilt and shame on, partly to depression
- Those affected suffer from the binge eating
In uncontrolled binge eating mostly fat and sweet foods are eaten that contain many calories.
Unlike Bulimikern or anorexics Binge Eater take after eating no measures such as vomiting or excessive workout in order to prevent weight gain by the excessive calorie intake.
Although the clinical picture was described by Stunkard first time in 1959, the binge - eating disorder is not yet represented by its own diagnostic guidelines in ICD -10 and will no detailed description for F 50.9: " Unspecified eating disorders " or F 50.4 " binge eating at other mental disorders " subsumed.
As a bulimic binge eater conceal usually their other disturbed eating behavior, even friends and family members. Surveys of stakeholders suggest that the binges are exclusively psychological factors and are mainly triggered by negative feelings, stress or boredom. Psychologists assume that unpleasant sensations are suppressed during the eating process. Thus it was with binge eating is a form of avoidance behavior. As with other eating disorders, there is the formation and function of this eating behavior but different theories. In the diet psychology there is a theory that so-called " Bridled eating " a risk factor for the development of eating disorders, especially bulimia and binge eating for.
Epidemiology
As regards the frequency of binge eating disorder, there are different data, most based on estimates. Ernst Georg Jacoby, former head of a special clinic for eating disorders in Bad Oeynhausen, estimates the number of people affected in Germany to 1.5 to two million, which was higher than the number of bulimic. In the United States studies showed a ratio of about two percent of the population. About a third of those affected are men; there are no particularly affected age group as in bulimia nervosa and anorexia nervosa. A large part of the Binge Eater is overweight, but suffers reversed only about a third of obesity patients to food cravings. Most overweight people continually take in more calories than they consume, not episodic.
Therapy
In the treatment of eating behavior, a normalization is desired, wherein the trigger psychological problems are addressed. To zureduzieren the frequency of binge eating, a therapy with antidepressants such as SSRIs, contribute to supportive.